Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wyatt Jon Robinson

Individual provider Physical Therapist · NPI 1558640508

Wyatt Jon Robinson is a Physical Therapist in Private Practice in Bothell, Washington. Qualified in 2011, 15 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
15
Licensed in
WA
In the registry since
2011
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Practice location Address checks out

19017 120th Ave NE Bldg 1 Ste 111
Bothell, WA 98011-9510
Phone: (425) 489-3420
Fax: (425) 489-3421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60229384 (WA)

Record details

NPI number1558640508
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2011
Last updated in NPPESNovember 12, 2012
Mailing address16083 Sw Upper Boones Ferry Rd, Suite 300, Tigard, OR 97224-7736

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bothell